A sugar tong splint provides temporary support for injuries, particularly those affecting the forearm, wrist, and elbow. It serves as an external device designed to immobilize a limb, helping to reduce pain and prevent further damage to the injured area. This type of splint acts as a bridge to more definitive treatment, often used immediately after an injury to accommodate potential swelling.
Common Uses and Splint Design
Sugar tong splints are frequently applied to stabilize various upper extremity injuries, including fractures of the distal radius, ulna, and both forearm bones. They can also protect the forearm or wrist after surgical procedures. The design is effective because it immobilizes the joint above and below the injury, specifically preventing rotation of the forearm (supination and pronation) and limiting flexion and extension of the wrist and elbow. This comprehensive immobilization helps keep broken bone ends aligned, which is important for proper healing.
The splint is long and U-shaped, resembling a pair of sugar tongs, which gives it its name. It wraps around the injured limb, extending from the hand, around the elbow, and back up the forearm. This U-shape allows it to contour closely to the arm, providing stable support. Materials include stockinette, a soft fabric applied first, followed by cotton padding, with extra padding over bony prominences.
The rigid splinting material, usually plaster or fiberglass, is then applied over the padding. This material is moistened, allowing it to be molded to the limb’s contour before it hardens. An elastic bandage is wrapped over the splinting material to hold it in place. This layered construction creates a semi-flexible yet supportive device that can accommodate swelling, unlike a full cast.
Living with a Sugar Tong Splint
Proper care is important for effective healing and to prevent complications. Patients should keep the splint dry, as a wet splint can lead to skin irritation and potential infection. Wrapping the splint with multiple layers of plastic during bathing can help, but direct immersion in water should be avoided. Do not insert objects inside the splint to scratch an itch, as this can damage the skin or leave foreign objects behind. Avoid applying powders or deodorants inside the splint.
Watch for signs of problems and seek medical attention if they occur. Signs include increased or severe pain, numbness, tingling, or a burning sensation in the hand or fingers. Worsening swelling or changes in skin color, such as pale, blue, or gray fingers, warrant immediate medical evaluation. Difficulty moving fingers or toes, or any bleeding or pus leaking from under the splint, are serious indicators.
The sugar tong splint is a temporary measure, often used for several days to weeks. It allows for initial swelling to subside before a more rigid cast might be applied. During this period, elevating the splinted limb above heart level can help reduce swelling. Follow-up appointments are typically scheduled to assess healing, monitor for complications, and determine the next steps in treatment.